Medical apparatus for the treatment of the intestines



. May 17 1927. 1,628,849

A. KLAlB ER MEDICAL APPARATUS FOR THE TREATMENT OF THE INTESTINES Filed April 12. 1926 INVENTOR r74 5522 flimaza ATTORNEYS Patented May 17, 1927.

'UNITED STATES PATENT OFFICE.

ALBERT KLAIBER, OF RIDGEWOOD NEW YORK.

vmedical apparatus employed for the subaqueous irrigation of the intestines, and has particular reference to a saddle construction of the type disclosed and claimed in my co- ,pending application filed September 4, 1924,

. Serial No. 7 35,743.

Briefly, there is shown in the above identified application, a saddle upon which a patient is seated during treatment and which is provided therein with a discharge opening. Projecting from this opening and carried .by a feed tube supported by the saddle is an anal tube through which a medicament is fed into the intestines. It becomes desirable, .in practice to subject patients to treatments of different characters such as intra-rectal and intra sphincteric subaqueous baths. For the former bath,- a' long anal tube is required which will extend through the.

sphincter canal to the rectum ampulla and whic-hcan be used for loosening or softening the scybala and for acting upon the intestines with medicinal. solutions. When applying the intra-sphincteric treatment, the anal tube should be short so as not to reach the rectum ampullabut only discharge within the narrow sphincter canal.

With the apparatus .of'said application it becomes necessary, before performing the different treatments above mentioned, to v 'changethe analtubefor a shorter or longer one and sometimessuch'changes are necessary, due to variations' in the body confor-v mations of patients, after' a patient is seated upon the saddle and the treatment has been I started. In the latter event, the patient must arisehile the change ,of-tubes is being effected and thereafter reseat himself upon the s addle. I 7

An object of the present invention is to overcome thenecessity of changing the anal tube for each different treatment and, to this end, there is provided a construction wherein a single anal tube isemployed which may be adjusted longitudinallyso that it may be extended different distances into. the anus.

Another object is to so mount the anal tube that; the same will have pivotal movements and be yieldably supported relative to the fed tube whereby the anal tube will always have a tendency to assume a position in longitudinal alignment with the feed tube. The above and other objects will appear more clearly from thefollowing detailed descriptiong when taken in connection withthe MEDICAL APPARATUS FOR THE TBEATIVIENT OF THE INTES'IINES.

Application filed April 12, 1926. Serial No. 101,297.

accompanying drawing, which illustrates a preferred embodiment of the inventive idea.

In the drawing Figure 1 is a vertical longitudinal section through the saddle constructed in accordance with the invention;

Figure 2 is a transverse section on the line 2-2 Figure 1; and

'Figure 3 is an enlarged longitudinal section showing the details of the mounting for the anal tube.

The apparatus of the present invention is used in the same manner as described in the aforesaidapplication and is shown as comprising a saddle including a-body portion 5 made of any suitable material and arcuately shaped in longitudinal section so as to form a convenient seat for the patient. The saddle is maintained in an inclined position and at its rear or lower portion carries upon its under surface and adjacent its side edges two supports 6 made of rubber or other desired material which will engage the bottom of a tub and aid in preventingslipping of the saddle. At a oint slightly forward of the supports 6 the ody portion 5 has secured to the underside thereof and extending for wardly therefrom a supporting leg 7 the free end of which is providedwith a cushion or pad 8 which also engages the bottom of the tub to support the saddle in proper position. "At a point slightly forward of the center of the body portion the same is provided with a discharge opening 9. A discharge duct 10 extends in an inclined position from the underside of the body-portion and has one end aligned with the opening 9 so as to receive waste therefrom and convey the same to a su table drain or receptacle such as described in the aforementioned application. The duct issupported by a brace 1O connected to the forward end of the leg 7 In order to further insure the proper discharge of the emitted contents of the intestines through the discharge duct, a ring or collar 11 is mounted in the opening 9 and extends into the adjacent end-of the duct 10. The outer endof said ring is bent to form a flange 12 utilized to retain in position on the body portion a pad or air cushion 13 which surrounds the opening 9. The pad has an air tube 1% by means of which the same may be inflated after the patient is seated upon the saddle.

Rings 15 are provided at the ends of the saddle to. which suitable straps (not shown) a pipe 16 extending into thefduetWvi'th' tie may from the body of the patient and retalnmg the same in proper position relative to said body. I e

NVhen a treetment is ooneluded the duct may be flushed'out aiid' the patient cleaned by the injection of a flow of Water throu h i saidtube has anenlarged er 605519 to which is connected a branch 2O capable ofconupp neetion toze; suitable source of n'iediea ment ;Th i pq t i nii t is provi e W t extending pins21 engage'able inthe latera 'slotted lower endsof the arms ,QZifOrming-a pert ,oiiani pem ine' l ver 2 3E1 impe nds i fi e der 122w be t0 mbra the duct; lO- a'nd are pivotally connected there- 'tou-t 9A, From this eonstruetion it will be seen i that when; the lever; 23' is swung about the .piv0ts124, the feed tube 18 audits branch 20 maybe adjustedeas' i-ndioated by the dotted lines in Figurell,with the tube 18s1iding longitudinally in the bearing 17 The inner end of, hetube 18 is internally serew threaded toreoeive' the threaded portion ofi'a ;;oupli ngmember 26 having a passage; 27 therethroug-h which extends in alignment with said tube. An enlarged head 28- 'is formed on; theeoupling and'is utilized; to position the samelon the tube an lid -c it? h re r m; :S id he ls formjse stopqvliich engages :the inner end of the bearing 17 to limit the outwardmovement of the'tube 18. Theer'idof the cou- V pling. OPP OSIitethe portion '25 "is enlarged to provides ball member 29 hichfits nto'a soeket portion-wet the innerendof an anal tube 31,21 ring 32 having screw threaded. engagement Withsa-id portion 39 retaining said tube 31in eonneetion with the eoupling 26.

f, In this manner a universal ofint connection is'- f o r me,d-,betweeupthe' feed and anal tubes hieh-wvillpermit of" the letter having Pivotal movements rela to'the former thus facilitati g h e t y and? P Posi" tioningbf thehnal tube in- :the sphincter canal;aincl'reetum ai'npulla. Then'by operating-thelev'er 23 itv ill be apparent that meme-army be adjusted in a" longitudinal direction. to vary its ,efi'eetivelength.

- Means are provided for yiel'dably supporting thetubefil so that the seitnevvill' have a i tendency to;: at allttiniesf, assume a position ilildireet longitudinal:alignment with the feed tube 18; and: substantial right angles to the plane of the pening 9.1, Thisisdone t prevent-,- as much possible, contact; of

' the: free end of the-tube 31 vvithrthe; vva'llslof the sphinoter. danalandreotum ampulla as the head 28 and rin 32 and soldered or.

sary pivotal movementsgof the latter'tube.

steed tube;

nsfr n sa d op ng,v *1 f wbw'w movements of said feed tube, andfg n egng thetube'is being inserted audthils'uvbid un- V necessary irritation of the orgai-ns of the patient. Said means is preferabl in the form ofseefl springea interpose between othei'ivis "seoii "et td-tfi litter. Said spring will thusnormally maintain the tubes 18 an 31 realignment butwill permit of any neces Should it be desired. to remove the" 15 from its beai-ingT1T for purposes Of. clean," "f or'tbe'piirtQ tliefcdif'lihlZfi t9 getheri'ivit'h' the tube sini ay e mehea'by' nuiiesaing;th'ej eupiing fibiiifbgg tube 18 wheieu oni. said tube, be ewitha drawn outwardly by,manipulating'the,levi

1 niecl'eelapparetusbfithe classide -j f scribed a saddle ineluding' albod portidlf hevingza'fdisohargeopening aif ed 'tufie', 81L anal tube 'eqnnectedkto' said feedtubeviiid projecting ftilirough "saidffop'enin menus ff adjustin {saiid feediaiid an altu es in -1 hi--- gitudina direction to vary the stream; e length ofthe latter tube; and meaus yiel'clably supporting. said anal; tube; in limgitu dirial alignment with saidifeedtubex ZQ Infa medioal aretus of he claifi scribed, a saddle inc uding a 'bodj brti '71 I having a discharge -opening,ta fee *tdfigji" t irqi ng .fr ms idi pf ni n3 1 lravinga pivotal conne etijon' s ai tube, means for adjustingsaidtubes go vai'g the eifeotive length ofjthe anal tube, mid; m an yi ldeb v iipn r i ga d m1 7 tube in flongitudinal'j alignment With-said ,3- .I. medical apparatu w wasses ribe a dleiml d g dy wi s; s m' e r p nge u t x end:

rented by i'd t a d .me b e re a ive t.

theret'otovverd auda 11y m B Z i i. mew; a 'tu e i on x ed-toi a dff ed'tuh' ndE zvingt e e i elei gth v r e fflk .va r edibvs i d ct-end c n ected tois id feedtubeformovingthe same.) i 411 ia- -dicel appara o i e ass de': 7 scribed; a, saddleifncluding a body purtiani {5,4 having discharge opening, .aduct extend- F 7 e ing f -oni saidjiopening fa feed tubesupportedby said duet-r and movable mlative theretofltovvglrd and aweyifrom said-opeu- 1ng,, an anal tube econnected to said ,fed tube, and having-its: effective length varied by the movementsz of said feed tube, audia leveg-b having )ivota1- connection with move-flfe'latter relative tosa'id t g 5;:',In-a med-ital ap atatus of thmclass de-- seribed; asaddleinc udiflgagbody having a discharge opening, a duct extending from said opening, a feed tube supported by said duct and movable relative thereto toward'and away from said opening, an anal tube having a'pivotal connection with said feed tube and adapted to have its effective length varied by the movements of the latter tube, and a lever having pivotal connection with said duct and with said feed tube and operable to move the latter relative to said duct.

6. In a medical apparatus of the class described, a saddle including a body portion having a discharge openingya duct extending from said opening, a feed tube supported by said duct and movable relative thereto toward and away from said opening, an anal tube having a pivotal connection with said feed tube and adapted to have its effective length varied by the movements of the latter tube, and means for yieldably supporting said anal tube in longitudinal alignment with said feed tube.

7. In a medical apparatus of the class described, a saddle including a body portion having a discharge opening, a duct extending from "said opening, a feed tube supported by said duct and movable relative thereto toward and away from said opening, an anal tubehaving a pivotal connection with said feed tube and adapted to have its effective length varied by the movements of the latter tube, means for yieldably supporting said anal tube in longitudinal alignment with said feed tube, and a lever having pivotal connection with said duct and with said feed tube and operable to move the latter relative to said duct.

8. In a medical apparatus of the class described, a saddle including a body portion having a discharge opening, a feed tube supported by said body adjacent said opening and movable toward and away therefrom, an anal tube connected to said feed tube, and means connected to a portion of said body and to said feed tube for moving the same and said anal tube.

9. In a medical apparatus of the class described, a saddle including a body portion having a discharge opening, a feed tubearranged adjacent said opening, a coupling carried by said feed tube, an anal tube having pivotal engagement with said coupling, and means carried by said coupling for yieldably supporting said anal tube in longitudinal alignment with said feed tube.

10. In a medical apparatus of the class described, a saddle includinga body portion having a discharge opening, a feed tube adjacent said opening, an anal tube projecting from said opening, ball and socket members carried by said tubes to permit of a universal movement of the anal tube relative to the feed tube, and means engageable with one of said members for yieldably supporting said tubes in longitudinal alignment with each other.

In testimony whereof I have affixed my signature.

ALBERT KLAIBER. 

